IndividualActive
Ivan Nicolov, M.D.
NPI 1649488255 · Hospice and Palliative Medicine (Family Medicine) Physician · Pine Hill, NM
Provider details
- NPI number
- 1649488255
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD20060115 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Bia Rte 125
Pine Hill, NM 87357
Phone: (505) 775-3271
Fax: (505) 775-3930
Approximate (ZIP-level) locationGet directions
Mailing address
Bia Rte 125
Pine Hill, NM 87357
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.